Individual
MATTHEW J AYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4116
(813) 844-4972
Mailing address
730 PIONEER LN, CALVERT CITY, KY 42029-9116
(270) 898-8944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28135236A
IN
Other
Enumeration date
08/05/2006
Last updated
07/09/2007
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